Diagnostiquer et annoncer une démence : quels risques, quels bénéfices ?

Article Article scientifique Article Diagnostiquer et annoncer une démence : quels risques, quels bénéfices ? fre 2012 author Holzer Franz Josef 85472 author Assal Frédéric 527005 author Laszlo André Charles 32928 author Annoni Gian-Maria 133986 1130-1134 22734183 1660-9379 http://rms.medhyg.ch/numero-342-page-1130.htm While dementias represent an important problem of social health, they remained underdiagnosed. Data from the literature suggests that only 30% of cognitive impairment are detected and correctly evaluated, while most of the patient (up to 90%) and caregivers (up to 70-80%) ask for a precise diagnosis. Proper evaluation increase diagnostic accuracy from 30% to 80% but 20% of diagnoses remains inexact. Diagnostic disclosure seems to have a positive impact on patient's affective symptoms but is associated to an increase of suicide during the following 3 months, and thus must be a progressive and controlled process. Accompanying a patient in this process necessitates complexes competencies from the primary care physician. Difficulties related to this disclosure are counterbalanced by benefits for both patient and families. Attitude of Health Personnel Dementia/diagnosis/etiology/psychology/therapy Diagnosis, Differential Disclosure Expert Testimony Health Knowledge, Attitudes, Practice Humans Neurologic Examination/standards Patient Education as Topic/standards Risk Assessment Dewey 616.8 61 Département des neurosciences cliniques 226 false 928 Neuropsychologie et neurologie comportementale 951 Revue médicale suisse 8 342 781bf232-44ca-48bb-a8a5-6c19dafdde15 Article (Published version) Restricted RMS_342_1130.pdf 592405 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département des neurosciences cliniques

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Diagnostiquer et annoncer une démence : quels risques, quels bénéfices ?	Revue médicale suisse			2012	582	2

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Laszlo, André Charles